MIDWIFERY PRACTICE AND NORMAL NEONATE: MCQ
QUESTIONS AND DETAILED ANSWERS|ALREADY GRADED
A
The number of fontanelles that you would expect to be able to palpate on
Jack is:
a) 1
b) 2
c) 3
d) 6 Correct Ans- b) 2
If you could palpate a third fontanelle this might indicate that Jack has:
a) Plagiocephaly
b) Excessive moulding
c) A congenital abnormality: Trisomy 21
d) Craniosinotosis Correct Ans- c) A congenital abnormality: Trisomy
21
You explain to Kelly that Jack has 'caput' because there is a swelling on
his head that:
a) Is a light pinky colour and located at the base of his hairline
b) Does not cross a suture line and pits with digital pressure
c) Is firm and coloured like a reddish bruise
d) Is a diffuse oedematous swelling of the soft tissues of his scalp and
crosses a suture that will resolve in 24-48hours Correct Ans- d) Is a
,diffuse oedematous swelling of the soft tissues of his scalp and crosses a
suture that will resolve in 24-48hours
The physical characteristics of Jack at 41 weeks gestation include all of
these EXCEPT:
a) Dry, peeling skin
b) Ears stiff with instant recoil
c) Abundance of vernix
d) Scrotum with deep rugae Correct Ans- a) Abundance of vernix
Radiation is the most predominate mode of heat loss for Jack. Radiation
refers to:
a. loss of heat through water evaporation from the baby
b. loss of heat through the baby shivering
c. loss of heat from the baby's surface to surrounding colder objects
d. loss of heat to moving air or fluid around the baby Correct Ans- c.
loss of heat from the baby's surface to surrounding colder objects
Kelly asks how many hours a day does Jack is likely to sleep. You reply
that it is usual for a newborn to sleep:
a. 8 - 10 hours
b. 10 - 12 hours
c. 14 - 16 hours
d. 18 - 20 hours Correct Ans- c. 14 - 16 hours
, You palpate Jacks femoral pulses. If you found an asynchronous
pulsation this may indicate:
a. poor circulation to the legs
b. common finding in the first weeks of examination'
c. congenital cardiovascular anomaly
d. less blood volume being pumped Correct Ans- d. congenital
cardiovascular anomaly
Barlow's test is used to:
a. Check the baby's buttocks creases are symmetrical
b. Check that the limbs are of equal length
c. Confirm that the pelvis is stable
d. To access if hip is subluxable (can be easily dislocated of the
acetabulum).
e. None of the above Correct Ans- d. none of the above
Which of the following findings is Jack at increased risk of having
because it occurred to his sister:
a) Breech presentation
b) Developmental dysplasia of the hips
c) Port wine stain birthmark
d) Absent red eye reflex Correct Ans- Developmental dysplasia of the
hips
QUESTIONS AND DETAILED ANSWERS|ALREADY GRADED
A
The number of fontanelles that you would expect to be able to palpate on
Jack is:
a) 1
b) 2
c) 3
d) 6 Correct Ans- b) 2
If you could palpate a third fontanelle this might indicate that Jack has:
a) Plagiocephaly
b) Excessive moulding
c) A congenital abnormality: Trisomy 21
d) Craniosinotosis Correct Ans- c) A congenital abnormality: Trisomy
21
You explain to Kelly that Jack has 'caput' because there is a swelling on
his head that:
a) Is a light pinky colour and located at the base of his hairline
b) Does not cross a suture line and pits with digital pressure
c) Is firm and coloured like a reddish bruise
d) Is a diffuse oedematous swelling of the soft tissues of his scalp and
crosses a suture that will resolve in 24-48hours Correct Ans- d) Is a
,diffuse oedematous swelling of the soft tissues of his scalp and crosses a
suture that will resolve in 24-48hours
The physical characteristics of Jack at 41 weeks gestation include all of
these EXCEPT:
a) Dry, peeling skin
b) Ears stiff with instant recoil
c) Abundance of vernix
d) Scrotum with deep rugae Correct Ans- a) Abundance of vernix
Radiation is the most predominate mode of heat loss for Jack. Radiation
refers to:
a. loss of heat through water evaporation from the baby
b. loss of heat through the baby shivering
c. loss of heat from the baby's surface to surrounding colder objects
d. loss of heat to moving air or fluid around the baby Correct Ans- c.
loss of heat from the baby's surface to surrounding colder objects
Kelly asks how many hours a day does Jack is likely to sleep. You reply
that it is usual for a newborn to sleep:
a. 8 - 10 hours
b. 10 - 12 hours
c. 14 - 16 hours
d. 18 - 20 hours Correct Ans- c. 14 - 16 hours
, You palpate Jacks femoral pulses. If you found an asynchronous
pulsation this may indicate:
a. poor circulation to the legs
b. common finding in the first weeks of examination'
c. congenital cardiovascular anomaly
d. less blood volume being pumped Correct Ans- d. congenital
cardiovascular anomaly
Barlow's test is used to:
a. Check the baby's buttocks creases are symmetrical
b. Check that the limbs are of equal length
c. Confirm that the pelvis is stable
d. To access if hip is subluxable (can be easily dislocated of the
acetabulum).
e. None of the above Correct Ans- d. none of the above
Which of the following findings is Jack at increased risk of having
because it occurred to his sister:
a) Breech presentation
b) Developmental dysplasia of the hips
c) Port wine stain birthmark
d) Absent red eye reflex Correct Ans- Developmental dysplasia of the
hips
